[38M] With respiratory symptoms and fever post-travel

Patient Description

A 38-year-old male presents with a severe dry cough, high fever, wheezing, difficulty breathing, lethargy, low energy, body aches, and a severe headache over the past 6 days. The cough has worsened over time and occurs frequently throughout the day, with slight improvement from over-the-counter medications. The patient reports congestion and a loss of smell, but is unsure about any changes in taste. There is no chest pain, nausea, vomiting, or swelling in the legs or feet. The patient has not been tested for COVID-19 but is considering it due to recent travel exposure. No pre-existing conditions or allergies are reported. The patient is currently taking ibuprofen and over-the-counter cough medicine every 6 to 8 hours.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possible explanations:

  • COVID-19: Given your symptoms of a dry cough, high fever, difficulty breathing, loss of smell, and recent travel exposure, COVID-19 is a strong possibility. COVID-19 can cause respiratory symptoms, body aches, and fatigue. Testing is important to confirm this diagnosis.

    • Treatment typically involves supportive care, such as rest, hydration, and over-the-counter medications to manage symptoms. In severe cases, medical intervention may be necessary.
  • Influenza (Flu): The flu can cause similar symptoms, including fever, cough, body aches, and fatigue. It is also common during the winter months.

    • Treatment includes rest, fluids, and over-the-counter medications. Antiviral medications may be prescribed by a doctor if the flu is confirmed.
  • Respiratory Infection: This could be a viral or bacterial infection affecting your respiratory system, leading to symptoms like cough, fever, and congestion.

    • Treatment depends on the cause but may include rest, fluids, and medications to relieve symptoms. Antibiotics may be necessary if a bacterial infection is confirmed.

What you can do

  1. Get Tested: Consider getting tested for COVID-19 as soon as possible, especially given your recent travel exposure and symptoms.
  2. Rest and Hydrate: Ensure you get plenty of rest and stay hydrated to help your body fight off the infection.
  3. Symptom Management: Continue using over-the-counter medications like ibuprofen and cough medicine to manage your symptoms. Follow the dosing instructions carefully.
  4. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you notice any changes and provide useful information to your healthcare provider.
  5. Seek Medical Advice: Contact a healthcare provider for further evaluation and guidance, especially if your symptoms worsen or do not improve.

What you should look out for

Seek medical attention more urgently if you experience:

  • Difficulty breathing that worsens or does not improve with rest
  • Persistent chest pain or pressure
  • Confusion or inability to stay awake
  • Bluish lips or face
  • High fever that does not respond to medication

Remember, while I can provide information and guidance, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask


What are the common symptoms of COVID-19 and how do they differ from the flu?

Common symptoms of COVID-19 include fever, dry cough, difficulty breathing, loss of smell or taste, and fatigue. The flu also causes fever, cough, and body aches, but loss of smell or taste is more specific to COVID-19. Testing is necessary to differentiate between the two.


How can I manage a severe dry cough at home?

To manage a severe dry cough at home, you can use over-the-counter cough suppressants, stay hydrated, use a humidifier, and rest. If symptoms persist or worsen, consult a healthcare provider.


When should I seek medical attention for difficulty breathing?

Seek medical attention if difficulty breathing worsens, does not improve with rest, or is accompanied by chest pain, confusion, or bluish lips or face. These could be signs of a more serious condition.


What steps should I take if I suspect I have COVID-19 after recent travel?

If you suspect COVID-19 after recent travel, get tested as soon as possible, isolate yourself to prevent spreading the virus, and monitor your symptoms. Follow public health guidelines and consult a healthcare provider for further advice.


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